Pre-hospital diagnosis of stroke in children. An analysis of the work of the First aid station in Moscow and the primary pediatric stroke center

Khachaturov Y.A.; Shchederkina I.O.; Sidorov A.M.; Plavunov N.F.; Petryaykina E.E.; Kadyshev V.A.; Kuleshov N.N.; Vitkovskaya I.P.

doi:https://doi.org/10.17116/jnevro202012008265

Khachaturov Y.A.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department

Shchederkina I.O.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department

Sidorov A.M.

Puchkov First Aid Station;
Evdokimov Moscow State University of Medicine and Dentistry

Plavunov N.F.

Puchkov First Aid Station;
Evdokimov Moscow State University of Medicine and Dentistry

Petryaykina E.E.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department;
Peoples Friendship University of Russia

Kadyshev V.A.

Puchkov First Aid Station;
Evdokimov Moscow State University of Medicine and Dentistry

Kuleshov N.N.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department

Vitkovskaya I.P.

Morozovskaya Pediatric Municipal Clinical Hospital

Pre-hospital diagnosis of stroke in children. An analysis of the work of the First aid station in Moscow and the primary pediatric stroke center

Authors:

Khachaturov Y.A., Shchederkina I.O., Sidorov A.M., Plavunov N.F., Petryaykina E.E., Kadyshev V.A., Kuleshov N.N., Vitkovskaya I.P.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(8‑2): 65‑72

DOI: 10.17116/jnevro202012008265

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To cite this article:

Khachaturov YA, Shchederkina IO, Sidorov AM, et al. . Pre-hospital diagnosis of stroke in children. An analysis of the work of the First aid station in Moscow and the primary pediatric stroke center. S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(8‑2):65‑72. (In Russ.)
https://doi.org/10.17116/jnevro202012008265

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))

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OBJECTIVE

The article presents an analysis of pre-hospital diagnosis of stroke in children.

MATERIAL AND METHODS

Pediatric Stroke Center of Morozov Children's City Clinical Hospital (Center) for the period from October 2018 to December 2019, 502 cases of hospitalization of children by the First aid Station to the Center with directing diagnoses of ischemic stroke (IS), haemorrhagic stroke (HS), transient ischemic attack (TIA), vertebrobasilar syndrome (VBS) were analysed.

RESULTS AND CONCLUSION

TIA was the most prevalent diagnosis made by the First aid station, with the lowest rate of confirmation after further examination in the hospital (7.8%). The higher rates of confirmation were observed for VBS (31.5%), IS (11.2%) and HI (9.1%). The so-called «masks of stroke» were diagnosed in 84.3% cases of hospitalizations that was in line with earlier studies, which reported 50 to 93%. Based on the data on the frequency of symptoms, their combinations and specificity, a screening scale for pre-hospital diagnosis of stroke in children was suggested.

Keywords:

stroke in children

prehospital diagnosis

stroke masks

Authors:

Khachaturov Y.A.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department

Shchederkina I.O.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department

Sidorov A.M.

Puchkov First Aid Station;
Evdokimov Moscow State University of Medicine and Dentistry

Plavunov N.F.

Puchkov First Aid Station;
Evdokimov Moscow State University of Medicine and Dentistry

Petryaykina E.E.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department;
Peoples Friendship University of Russia

Kadyshev V.A.

Puchkov First Aid Station;
Evdokimov Moscow State University of Medicine and Dentistry

Kuleshov N.N.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department

Vitkovskaya I.P.

Morozovskaya Pediatric Municipal Clinical Hospital

Received:

06.04.2020

Accepted:

07.04.2020

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References:

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